JAN A WILDHAGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057205

License Status

NOT RENEWED

Business

First Name

JAN A

Last Name

WILDHAGEN

Business Name

JAN A WILDHAGEN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CARROLLTON

State

Zip

62016

County

GREENE

Ever Disciplined

LastModifiedDate

10/17/2005